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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:

期数:

2022年8期

页码:

129-133

栏目:

出版日期:

2022-08-10

文章信息/Info

Title:

Comprehensive Effect Analysis of Glass Fiber Post in Restoration of Dental Defects

文章编号:

1008-6455(2022)08-0129-04

作者:

蔡 萍; 吴亚娟; 张 祥

(南通大学附属海安医院口腔科 江苏 南通 226600 )

Author(s):

CAI Ping; WU Yajuan; ZHANG Xiang

(Department of Stomatology,Hai’an Hospital,Nantong University, Nantong 226600, Jiangsu, China)

关键词:

玻璃纤维桩; 铸造桩; 牙体修复; 修复满意度; 牙周碱性磷酸酶

Keywords:

glass fiber post;  cast post;  dental restoration;  restoration satisfaction;  periodontal alkaline phosphatase

分类号:

R783.3

文献标志码:

A

摘要:

目的：探讨玻璃纤维桩修复牙体缺损的综合效果，并观察患者对修复效果的满意度及对牙周碱性磷酸酶（Alkaline phosphatase protein,ALP）水平的影响。方法：将89例牙体缺损修复患者纳为研究对象，根据修复桩核类型，将其分为观 察组（玻璃纤维桩修复，n=47，共59颗牙）与对照组（铸造钴铬合金桩修复，n=42，共50颗牙），随访2年，比较两组修复 效果、牙周碱性磷酸酶水平及患者修复满意度。结果：观察组桩核修复成功率为98.31%，显著高于对照组的86.00%，差异有 统计学意义（P＜0.05）；两组修复失败类型，以及修复体完整度、舒适度、边缘密合度及边缘着色情况比较，差异无统计 学意义（P＞0.05）。修复后2年，观察组牙周ALP水平与其修复前比较，差异无统计学意义（P＞0.05）；对照组修复后2年 牙周ALP水平较其修复前显著升高，且显著高于观察组修复后2年水平，差异均有统计学意义（P＜0.05）。修复后2年，观 察组牙周袋硫化物阳性率显著低于对照组（P＜0.05）；修复后2年，两组牙周指标包括BI、PLI以及PD水平均较同组修复 前显著下降，而且对照组BI、PLI以及PD水平均显著低于观察组，差异均有统计学意义（P＜0.05）；观察组修复满意度为 93.62%，显著高于对照组的78.57%，差异有统计学意义（P＜0.05）。结论：与铸造钴铬合金桩相比，玻璃纤维桩在修复牙 体缺损中具有更好的实用性，其修复成功率更高，可提高患者修复满意度。

Abstract:

Objective To analyze the comprehensive effect of glass fiber posts in the restoration of dental defects, and to analyze its effect on patient satisfaction and periodontal alkaline phosphatase (ALP) level. Methods Eighty-nine patients with dental defects underwent restoration in our hospital were enrolled, and classified into two groups according to different types of posts. A sample of 59 teeth (n=47) restored with glass fiber post were set as observation group, and another 50 teeth (n=42) restored with Ni-Cr alloy post were set as control group. All patients completed a two-year follow-up.Then the restoration effect, periodontal ALP level and patient satisfaction were compared between groups. Results The successful repair rate was 98.31% in observation group, which was significantly higher than 86.00% in control group (P＜0.05), while no statistic difference was found in the failure rate between two groups (P＞0.05). The integrity, comfort degree, edge fitness and staining of dental prosthetics demonstrated no significant difference between two groups (P ＞0.05). Two years after restoration, periodontal ALP level showed no significant change in observation group (P ＞0.05), while was significantly increased in control group (P ＜0.05), so the periodontal ALP level of control group was significantly higher than that of observation group at the end of follow-up (P＜0.05), meantime, the positive rate of in periodontal pockets in observation group was significantly lower than that in control group (P＜0.05). Compared with baseline data, the periodontal BI, PLI and PD values were significantly decreased in both groups two years after repair (P＜0.05), and the values in control group were significantly lower than those in observation group,the differences were statistically significant (P ＜0.05). The restoration satisfaction rate was 93.62% in observation group, which was remarkably higher than 78.57% in control group,the differences was statistically significant(P ＜0.05). Conclusion Compared with Ni-Cr alloy post, glass fiber post in dental restoration has better mechanical functions, and higher success rate and satisfaction rate.

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更新日期/Last Update: 2022-08-29